| NPI | 1386020402 |
|---|---|
| Entity Type | Organization |
| Authorized Contact | TIMOTHY D STONE President & CEO 217-876-2114 |
| Organization Subpart ? | No |
| Primary Taxonomy | 273R00000X Psychiatric Unit (Licence: IL 0000471) |
| Enumeration Date | 2015-07-31 |
| Last Update Date | 2016-03-01 |